| immno_cmtrt |
|
radio |
Treated with immunosuppressants, including oral (not inhaled) corticosteroids prior toadmission / Immunosuppressant e.g. oral (not inhaled) corticosteroids (not low dose hydrocortisone) |
1, Yes ; 2, No ; 3, N/A |
| infect_cmtrt |
|
radio |
Treated with anti-infectives for illness episode prior to admission? |
1, Yes ; 2, No ; 3, N/A |
| infect |
|
text |
If yes, please specify anti infectives |
|
| chronic_ace_cmoccur |
|
radio |
Angiotensin converting enzyme inhibitors (ACEI)? |
1, Yes ; 2, No ; 3, N/K |
| chronic_arb_cmoccur |
|
radio |
Angiotensin II receptor blockers (ARBs)? |
1, Yes ; 2, No ; 3, N/K |
| chronic_nsaid_cmoccur |
|
radio |
Non-steroidal anti-inflammatory (NSAID)? |
1, Yes ; 2, No ; 3, N/K |
| clinical_frailty |
CLINICAL FRAILTY SCORE With reference to the Dalhousie University Clinical Frailty Score |
dropdown |
Clinical frailty score |
1, 1 ; 2, 2 ; 3, 3 ; 4, 4 ; 5, 5 ; 6, 6 ; 7, 7 ; 8, 8 ; 9, 9 ; 10, N/K |
| preadmission_treatment_complete |
Form Status |
dropdown |
Preadmission treatment section complete? |
0, Incomplete ; 1, Unverified ; 2, Complete |